Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLY KALB RUSSELL, DDS
Active Sole ProprietorDR. BRADLY KALB RUSSELL, DDS is a Oral & Maxillofacial Surgery healthcare provider located in WINSTON SALEM, North Carolina. NPI 1932490307 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1932490307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2011 (15.278614991591 yrs)
- Last Updated
- Oct 6, 2021
- Licenses
-
30.0239911 (OH)11536 (NC)30-023991 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 S HAWTHORNE RDWINSTON SALEM, NC, 271034127Browse NC providers · Browse ZIP 27103
- Phone
- 3367659550
- Fax
- 3367659552
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| JAMES M WALTER JR. | DDS MS | 1356364533 |
| DR. MARK T SHEHAN | DDS | 1083721906 |
| DR. DAVID PHILLIP KRETZSCHMAR | D.D.S., M.S. | 1225121957 |
| DR. JASON L RINGEMAN | D.D.S., M.D. | 1588874903 |
| DR. JEFFREY B KRUTOY | DDS,MD | 1477797850 |
| DR. JEFFREY E AYCOCK | DMD | 1568693877 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.